ALI R BAKHSHALIZADEH
Controlled Substance Registration for Practitioner


Address: 91 Dawley Rd, Griswold, CT 06351-8502

ALI R BAKHSHALIZADEH (Credential# 987327) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

ALI R BAKHSHALIZADEH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049753. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 91 Dawley Rd, Griswold, CT 06351-8502. The current status is active.

Basic Information

Licensee Name ALI R BAKHSHALIZADEH
Credential ID 987327
Credential Number CSP.0049753
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 91 Dawley Rd
Griswold
CT 06351-8502
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-03-14
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2018-12-28

Other licenses

ID Credential Code Credential Type Issue Term Status
982769 1.049505 Physician/Surgeon 2011-02-14 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 91 DAWLEY RD
City GRISWOLD
State CT
Zip Code 06351-8502

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Brenda L Swinson 85 Dawley Rd, Griswold, CT 06351-8502 Hairdresser/cosmetician 2018-08-01 ~ 2020-07-31
Joseph M Turner 75 Dawley Rd, Griswold, CT 06351-8502 Emergency Medical Technician 2010-08-02 ~ 2013-07-01

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Katherine L Stockwell 471 Voluntown Road, Griswold, CT 06351 Physical Therapist Assistant 2020-08-01 ~ 2021-07-31
Sandra L Conger 494 Roode Rd, Griswold, CT 06351 Registered Nurse 2020-07-01 ~ 2021-06-30
Mary E Malin 11 Pequot Trail, Griswold, CT 06351 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Sara E Griffin 30 Bishop Crossing Rd., Griswold, CT 06351 Radiographer 2020-07-01 ~ 2021-06-30
Lisbon Mobil #85 107 River Rd, Lisbon, CT 06351 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Victoria M Arico 57 Rimek Road, Lisbon, CT 06351 Registered Nurse 2020-08-01 ~ 2021-07-31
Ricky Robillard 127 Griswold Dr., Jewett City, CT 06351 Sub-surface Sewage Installer 2020-08-01 ~ 2021-07-31
Martha Ann Williams 20 Stetson Rd, Griswold, CT 06351 Notary Public Appointment 2020-06-19 ~ 2025-06-30
Sara R. Loarca 68 Bergendahl Drive, Griswold, CT 06351 Dental Hygienist 2020-08-01 ~ 2021-07-31
Jeanette Dascomb 204 North Main Street, Jewett City, CT 06351 Medication Administration Certification ~
Find all Licenses in zip 06351

Competitor

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City GRISWOLD
Zip Code 06351
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GRISWOLD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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